WAL-MART STORES EAST, LP
NPI 1477634921
Technician/Technologist - Optician in Baraboo, WI

Active since October 18, 2006
920 STATE ROAD 136, BARABOO, WI 53913(608) 356-1765(608) 356-0260 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Wal-mart Stores East, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAL-MART STORES EAST, LP (NPI 1477634921), doing business as Vision Center 30-1396, is a healthcare organization registered as an optician in Baraboo, Wisconsin and active in the NPI registry since October 2006. The organization lists Linda M. Epperson, Npi Coordinator, as its authorized official.

NPPES Registry Identity

NPI1477634921
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameWAL-MART STORES EAST, LP
Location Address920 STATE ROAD 136Baraboo, WI 53913-9254
Mailing Address702 Sw 8th StreetBentonville, AR 72716-0235
Fax(608) 356-0260
Organization SubpartNo
Authorized OfficialLinda M. EppersonNpi Coordinator · (316) 788-5580
Enumeration DateOctober 18, 2006
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1477634921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedEyewear SupplierTaxonomy 332H00000X
920 STATE ROAD 136, Baraboo, WI 53913

Other Names 1

Doing Business AsVision Center 30-1396

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Wal-Mart Stores East, LP carries, from the Medicare DMEPOS supplier directory.

Wal-Mart Stores East, LP

DMEPOS supplier · Baraboo, WI

Does not accept Medicare assignment

Wal-Mart Stores East, LP has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20490359
Medicare Participant SinceJuly 1, 2014
Supplier Location920 Us Hwy 12Baraboo, WI 53913
Supplier Specialties
Pharmacy Optician

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
920 STATE ROAD 136
BARABOO, WI 53913
Pharmacy (Community/Retail Pharmacy)
920 STATE ROAD 136
BARABOO, WI 53913
Optometrist
920 STATE ROAD 136
BARABOO, WI 53913
Pharmacist
920 STATE ROAD 136
BARABOO, WI 53913
Pharmacist
920 STATE ROAD 136
BARABOO, WI 53913
Optometrist
920 STATE ROAD 136, VISION CENTER
BARABOO, WI 53913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wal-Mart Stores East, LP's NPI number?

The NPI number for Wal-Mart Stores East, LP is 1477634921. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Vision Center 30-1396.

Where is Wal-Mart Stores East, LP located?

Wal-Mart Stores East, LP is located at 920 State Road 136, Baraboo, WI 53913. The listed phone number is (608) 356-1765.

What is Wal-Mart Stores East, LP's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Wal-Mart Stores East, LP accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wal-Mart Stores East, LP does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Wal-Mart Stores East, LP accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Wal-Mart Stores East, LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wal-Mart Stores East, LP was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.